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市场调查报告书
商品编码
1705676

医疗保健付款人服务市场：按服务类型、应用程式、最终用户和地区

Healthcare Payer Services Market, By Service Type, By Application, By End User, By Geography
出版日期: | 出版商: Coherent Market Insights | 英文 160 Pages | 商品交期: 2-3个工作天内

价格
简介目录

预计到 2025 年全球医疗保健支付服务市场规模将达到 833.6 亿美元，到 2032 年预计将达到 1,584.5 亿美元，2025 年至 2032 年的复合年增长率为 9.6%。

报告范围 报告详细信息
基准年 2024 2025年的市场规模 833.6亿美元
效能数据 2020-2024 预测期 2025-2032
预测期：2025-2032年复合年增长率： 9.60% 2032年价值预测 1584.5亿美元
数字。医疗保健支付服务市场占有率（%）（按地区，2025 年）
医疗保健付款人服务市场-IMG1

全球医疗保健支付服务市场的成长是由医疗保健支付方和提供者越来越关注提高其收益週期业务的整体效率所驱动的。医疗保健支付者专注于改善客户服务和参与度以获得竞争优势。此外，医疗保险计划的使用率提高和自付医疗费用的增加也推动了对高效支付服务的需求。服务提供者正在开发和部署领先的解决方案，以帮助付款人管理不断变化的收益来源、优化索赔处理、简化管理工作流程并降低成本。

市场动态：

全球医疗保健支付服务市场的成长受到人们对控制不断上涨的医疗保健成本和提高盈利日益增长的关注的推动。为了降低成本，付款人越来越多地将非核心业务外包给第三方律师（TPA）和其他服务提供者。此外，慢性病的激增，加上需要医疗保险的老年人口的增加，推动了对高效索赔处理和管理的需求。然而，处理敏感患者资料相关的安全问题以及旧有系统与新解决方案整合的困难可能会阻碍市场成长。云端基础的平台的日益普及以及人工智慧等先进技术的出现很可能在不久的将来为市场参与者提供丰厚的机会。

本研究的主要特点

  • 本报告对全球医疗保健支付服务市场进行了详细分析，并以 2024 年为基准年，展示了预测期（2025-2032 年）的市场规模（以十亿美元为单位）和年复合成长率（CAGR%）。
  • 它还强调了各个领域的潜在商机，并说明了该市场的有吸引力的投资提案矩阵。
  • 它还提供了有关市场驱动因素、限制因素、机会、新产品发布和核准、市场趋势、区域前景和主要企业采用的竞争策略的重要见解。
  • 它根据公司亮点、产品系列、关键亮点、财务表现和策略等参数，介绍了全球医疗保健支付服务市场中的主要企业概况。
  • 本报告的见解将使负责人和企业经营团队能够就未来的产品发布、新兴趋势、市场扩张和行销策略做出明智的决策。
  • 全球医疗保健支付服务市场报告迎合了该行业的各个相关人员，例如投资者、供应商、产品製造商、经销商、新进业者和金融分析师。
  • 相关人员可以透过用于分析全球医疗保健支付服务市场的各种策略矩阵来促进他们的决策。

目录

第一章 调查目的与前提条件

  • 研究目标
  • 先决条件
  • 简称

第二章 市场展望

  • 报告描述
    • 市场定义和范围
  • 执行摘要
  • Coherent Opportunity Map（COM）

第三章市场动态、法规与趋势分析

  • 市场动态
    • 驱动程式
    • 限制因素
    • 机会
  • 影响分析
  • 市场趋势
  • 主要进展
  • 监管情景
  • 收购与合作场景
  • 资金筹措与投资
  • PEST分析
  • 波特分析

4. 全球医疗保健支付服务市场-冠状病毒（COVID-19）大流行的影响

  • 整体影响
  • 政府倡议
  • COVID-19 市场影响

5. 全球医疗保健支付服务市场（依服务类型），2021 年至 2032 年

  • 业务流程外包
  • 资讯科技外包
  • 知识流程外包

6. 全球医疗保健支付服务市场（按应用划分），2021 年至 2032 年

  • 索赔管理服务
  • 整合前台和后勤部门业务
  • 会员管理服务
  • 供应商管理服务
  • 计费和帐户管理服务
  • 分析和欺诈管理服务
  • 人力资源服务
  • 支付管理服务
  • 审核与分析系统

7. 全球医疗保健支付服务市场（按最终用户划分），2021 年至 2032 年

  • 私人保险公司
  • 公共付款人

8. 全球医疗保健支付服务市场（按地区划分），2021 年至 2032 年

  • 北美洲
  • 拉丁美洲
  • 欧洲
  • 亚太地区
  • 中东
  • 非洲

第九章竞争格局

  • 公司简介
    • Accenture PLC
    • Institute BCN Esthetics SL
    • Hewlett-Packard
    • Dell, Inc.
    • Zeomega
    • Verisk Analytics, Inc.
    • UNITEDHEALTH GROUP
    • NXGN Management, LLC
    • MCKESSON CORPORATION
    • IBM Corporation
    • Epic Systems Corporation
    • eClinicalWorks
    • Cerner Corporation
    • Allscripts Healthcare Solutions, Inc.
    • Aetna, Inc.
    • Cognizant
    • Accenture
    • DXC Technology Company
    • Wipro

第 10 章分析师建议

  • 命运之轮
  • 分析师观点
  • 一致的机会图

第 11 章参考文献与调查方法

  • 参考
  • 调查方法
简介目录
Product Code: CMI7178

Global Healthcare Payer Services Market is estimated to be valued at USD 83.36 Bn in 2025 and is expected to reach USD 158.45 Bn by 2032, growing at a compound annual growth rate (CAGR) of 9.6% from 2025 to 2032.

Report Coverage Report Details
Base Year: 2024 Market Size in 2025: USD 83.36 Bn
Historical Data for: 2020 To 2024 Forecast Period: 2025 To 2032
Forecast Period 2025 to 2032 CAGR: 9.60% 2032 Value Projection: USD 158.45 Bn
Figure. Healthcare Payer Services Market Share (%), By Region 2025
Healthcare Payer Services Market - IMG1

Global healthcare payer services market growth is driven by increasing focus of healthcare payers and providers on improving the overall efficiency of revenue cycle operations. Healthcare payers are emphasizing on offering improved customer services and engagement to gain a competitive edge. Moreover, growing utilization of healthcare insurance schemes and rising out-of-pocket medical expenses boosts demand for efficient payer services. Various service providers are developing and deploying advanced solutions to help payers manage shifting revenue streams, optimize claims processing, streamline administration workflows, and reduce costs.

Market Dynamics:

Global healthcare payer services market growth is driven by growing focus on curbing rising healthcare costs and improving profitability. Payers are increasingly outsourcing non-core operations to Third Party Administrators (TPAs) and other service providers to reduce expenses. Furthermore, proliferation of chronic illnesses along with rising geriatric population requiring medical insurance can boost demand for efficient claims processing and management. However, security concerns related to handling sensitive patient data and difficulties in integrating legacy systems with new solutions can hamper the market growth. Increasing uptake of cloud-based platforms and the emergence of advanced technologies, such as artificial intelligence, can offer lucrative opportunities for market players in the near future.

Key Features of the Study:

  • This report provides in-depth analysis of the global healthcare payer services market, and provides market size (USD Billion) and compound annual growth rate (CAGR%) for the forecast period (2025-2032), considering 2024 as the base year
  • It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market
  • This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends, regional outlook, and competitive strategies adopted by key players
  • It profiles key players in the global healthcare payer services market based on the following parameters - company highlights, products portfolio, key highlights, financial performance, and strategies
  • Key companies covered as a part of this study include UnitedHealth Group, Anthem, Inc., Aetna Inc., Humana Inc., Centene Corporation
  • Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics
  • Global healthcare payer services market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
  • Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global healthcare payer services market

Detailed Segmentation-

  • By Service Type
    • Business Process Outsourcing
    • Information Technology Outsourcing
    • Knowledge Process Outsourcing
  • By Application
    • Claims Management Services
    • Integrated Front Office Service and Back Office Operations
    • Member Management Services
    • Provider Management Services
    • Billing and Accounts Management Services
    • Analytics and Fraud Management Services
    • HR Services
    • Payment Management Services
    • Audit and Analysis Systems
  • By End User
    • Private Payers
    • Public Payers
  • By Region
    • North America
    • Europe
    • Asia Pacific
    • Latin America
    • Middle East
    • Africa
  • Company Profiles:
    • Accenture PLC
    • Institute BCN Esthetics S.L.
    • Hewlett-Packard
    • Dell, Inc.
    • Zeomega
    • Verisk Analytics, Inc.
    • UNITEDHEALTH GROUP
    • NXGN Management, LLC
    • MCKESSON CORPORATION
    • IBM Corporation
    • Epic Systems Corporation
    • eClinicalWorks
    • Cerner Corporation
    • Allscripts Healthcare Solutions, Inc.
    • Aetna, Inc.
    • Cognizant
    • Accenture
    • DXC Technology Company
    • Wipro

Table of Contents

1. Research Objectives and Assumptions

  • Research Objectives
  • Assumptions
  • Abbreviations

2. Market Purview

  • Report Description
    • Market Definition and Scope
  • Executive Summary
    • Market Snapshot, By Service Type
    • Market Snapshot, By Application
    • Market Snapshot, By End User
    • Market Snapshot, By Region
  • Coherent Opportunity Map (COM)

3. Market Dynamics, Regulations, and Trends Analysis

  • Market Dynamics
    • Drivers
    • Restraints
    • Opportunities
  • Impact Analysis
  • Market Trends
  • Key Developments
  • Regulatory Scenario
  • Acquisitions and Partnerships Scenario
  • Funding and Investments
  • PEST Analysis
  • Porter's Analysis

4. Global Healthcare Payer Services Market - Impact of Coronavirus (COVID-19) Pandemic

  • Overall Impact
  • Government Initiatives
  • COVID-19 Impact on the Market

5. Global Healthcare Payer Services Market, By Service Type, 2021 - 2032, (USD Bn)

  • Overview
    • Market Share Analysis, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, 2021 - 2032
    • Segment Trends
  • Business Process Outsourcing
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Information Technology Outsourcing
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Knowledge Process Outsourcing
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)

6. Global Healthcare Payer Services Market, By Application, 2021 - 2032, (USD Bn)

  • Overview
    • Market Share Analysis, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, 2021 - 2032
    • Segment Trends
  • Claims Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Integrated Front Office Service and Back Office Operations
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Member Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Provider Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Billing and Accounts Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Analytics and Fraud Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • HR Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Payment Management Services
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Audit and Analysis Systems
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)

7. Global Healthcare Payer Services Market, By End User, 2021 - 2032, (USD Bn)

  • Overview
    • Market Share Analysis, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, 2021 - 2032
    • Segment Trends
  • Private Payers
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)
  • Public Payers
    • Overview
    • Market Size and Forecast, and Y-o-Y Growth, 2020-2032, (USD Bn)

8. Global Healthcare Payer Services Market, By Region, 2021 - 2032, (USD Bn)

  • Introduction
    • Market Share Analysis, By Region, 2025 and 2032 (%)
    • Y-o-Y Growth Analysis, For Region, 2020-2032
    • Regional Trends
  • North America
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • U.S.
      • Canada
  • Latin America
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • Brazil
      • Mexico
      • Argentina
      • Rest of Latin America
  • Europe
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • U.K.
      • Germany
      • Italy
      • France
      • Spain
      • Russia
      • Rest of Europe
  • Asia Pacific
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • China
      • India
      • Japan
      • ASEAN
      • Australia
      • South Korea
      • Rest of Asia Pacific
  • Middle East
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country, 2021 - 2032, (USD Bn)
      • GCC Countries
      • Israel
      • Rest of Middle East
  • Africa
    • Introduction
    • Market Size and Forecast, and Y-o-Y Growth, By Service Type, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Application, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By End User, 2020 - 2032, (USD Bn)
    • Market Size and Forecast, and Y-o-Y Growth, By Country/Region, 2021 - 2032, (USD Bn)
      • North Africa
      • Central Africa
      • South Africa

9. Competitive Landscape

  • Company Profiles
    • Accenture PLC
      • Company Highlights
      • Product Portfolio
      • Key Highlights
      • Financial Performance
      • Market Strategies
    • Institute BCN Esthetics S.L.
    • Hewlett-Packard
    • Dell, Inc.
    • Zeomega
    • Verisk Analytics, Inc.
    • UNITEDHEALTH GROUP
    • NXGN Management, LLC
    • MCKESSON CORPORATION
    • IBM Corporation
    • Epic Systems Corporation
    • eClinicalWorks
    • Cerner Corporation
    • Allscripts Healthcare Solutions, Inc.
    • Aetna, Inc.
    • Cognizant
    • Accenture
    • DXC Technology Company
    • Wipro

10. Analyst Recommendations

  • Wheel of Fortune
  • Analyst View
  • Coherent Opportunity Map

11. References and Research Methodology

  • References
  • Research Methodology
  • About us and Sales Contact